Philip L Dawson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301050289 Issued in MI

Practice address

1535 Gull Rd
Suite 205
Kalamazoo, MI 49048-1638

Phone

(269) 381-3521

Fax

(269) 381-4703

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Medical Care P C

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1487696589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1477538494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481638",
            "telephone_number": "269-381-3521",
            "fax_number": "269-381-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481638",
            "telephone_number": "269-381-3521",
            "fax_number": "269-381-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PHILIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301050289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3218298",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180458",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Davis
• Susan D Davis, LPC
• Veniece Davis
• Dawn Wood Counseling, LLC
• Nataly Dawood
• Bryan Edward Day
• Patricia Day
• Gerald A Dayharsh, MD
• Jessica Daykin
• Lauren Dayton, LLMSW

• Cardiovascular Disease Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.